Cape Coral, FL 33990 · CMS Certification Number 100244. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,823 | $116,256 | 8.4× | $11,822 |
| Shoulder replacement | — | — | — | $16,845 |
| Hip replacement after a fracture (DRG 522) | $16,093 | $112,148 | 7.0× | — |
Complications after hip or knee replacement: 5.6% (no different from the national rate). Readmissions: 8%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 303 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Cape Coral Hospital an average of $13,823 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $11,822 per outpatient case (APC 5115, 123 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,256, 8.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Cape Coral Surgery Center, an orthopedic surgery center 3.7 mi away, is paid about $8,687 by Medicare for a knee replacement (CPT 27447), $5,136 less than an inpatient stay at Cape Coral Hospital. Not every patient is a surgery-center candidate.
Medicare paid Cape Coral Hospital less than 73% of the 88 Florida hospitals that report inpatient hip or knee replacement.